Diabetes mellitus en la población hipertensa asistida en Atención Primaria en España. Grado de control tensional y lipídico

Escobar, Carlos; Barrios, Vivencio; Calderón, Alberto; Llisterri, J.L.; García, Silvia; Rodríguez-Roca, G.C.; Matalí, Arantxa

doi:10.1157/13102313

Cited by 24 publications

(11 citation statements)

References 30 publications

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“…In our study, 56.43% of patients under treatment were taking more than two antihypertensive drugs in 2003 and this percentage rose to 62.45% in 2009. These results are better than those found in other studies, where the proportion of patients taking more than two drugs was found to be between 13.3% and 26.8% [20], [23], [24]. This could be due to the fact that all antihypertensive drugs prescribed by family doctors were included in our study, although treatment may initially have been prescribed for another condition, such as renal protection, heart failure, stroke, arrhythmia, peripheral vascular disease or prostatic hyperplasia.…”

Section: Discussioncontrasting

confidence: 87%

“…If we take as control criterion the objective of 140/90 mmHg, the control level in 2003 was 53.03%, a value slightly lower than the 58.6% found in the CONTROLPRES study [36], done with this cut-off point in the same year for the Spanish population attended in PC. The poor control of HTN for people with type 2 diabetes, due mainly to difficulty in reaching systolic BP objectives [20], [23]–[25], [27], [28], [32], [37], as well as the progressive improvement as time passes [20], [30], [32] are consistent with findings of other studies.…”

Section: Discussionsupporting

confidence: 86%

“…The proportion of HTN patients under treatment is very high, more than 96% of patients taking prescribed antihypertensive drugs, as also shown by other Spanish studies [23]–[25].…”

Section: Discussionsupporting

confidence: 68%

“…In addition, they are older [19], [23], more obese [23], suffer more complications and have stricter BP objectives than patients without diabetes.…”

Section: Discussionmentioning

confidence: 99%

“…Our study compiles available information on all the population attended in Health Centres, and by all health professionals, thus avoiding the possibility of bias associated with the participation of volunteers which occurs in other studies [23]–[25], [27], [29], [31], [32].…”

Section: Discussionmentioning

confidence: 99%

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Trends in Hypertension Prevalence, Awareness, Treatment and Control in an Adult Type 2 Diabetes Spanish Population between 2003 and 2009

et al. 2014

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In patients with type 2 diabetes, the prevalence of hypertension is higher than in non-diabetic subjects. Despite the high cardiovascular risk involving hypertension in these patients, its prevalence and control are not well known. The aims of this study were: to estimate the hypertension prevalence, awareness, treatment and control in Spanish adults with type 2 diabetes attended in Primary Care; and to analyse its time trend from 2003 to 2009. A serial cross-sectional study from 2003 to 2009 was performed in 21 Primary Care Centres in Madrid. The study population comprised all patients with diagnosed type 2 diabetes in their computerised medical history. Overall annual prevalence during the period 2003–2009 was calculated from and according to sex and age groups. Linear trend tests, regression lines and coefficients of determination were used. In 2003 89.78% (CI 87.92–91.64) of patients with type 2 diabetes suffered hypertension and 94.76% (CI: 92.85–96.67) in 2009. This percentage was greater for women and for patients over 65 years old. 30% of patients suffered previously undiagnosed hypertension in 2003 and 23.1% in 2009. 97% of diagnosed patients received pharmacological treatment and 28.79% reached the blood pressure objective in 2009. The average number of antihypertensive drugs taken was 2.72 in 2003 and 3.27 in 2009. Only 5.2% of patients with type 2 diabetes show blood pressure levels below 130/80 mmHg. Although significant improvements have been achieved in the diagnosis and control of hypertension in people with type 2 diabetes, these continue to remain far from optimum.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionsupporting

confidence: 86%

“…The proportion of HTN patients under treatment is very high, more than 96% of patients taking prescribed antihypertensive drugs, as also shown by other Spanish studies [23]–[25].…”

Section: Discussionsupporting

confidence: 68%

“…In addition, they are older [19], [23], more obese [23], suffer more complications and have stricter BP objectives than patients without diabetes.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trends in Hypertension Prevalence, Awareness, Treatment and Control in an Adult Type 2 Diabetes Spanish Population between 2003 and 2009

et al. 2014

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Utilidad de la terapia combinada en la prevención y tratamiento de la enfermedad cardiovascular

Alonso¹,

Cervantes

2010

Revista Clínica Española

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Impacto De La Hipertensión Arterial Como Factor De Riesgo Cardiovascular

C.¹

2015

Revista Médica Clínica Las Condes

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RESUMENLa Hipertensión Arterial (HTA) continúa siendo un problema de Salud Pública relevante a nivel mundial. En Chile es la principal causa de morbimortalidad y el factor de riesgo de mayor carga atribuible para la patología cardiovascular isquémica y el accidente cerebrovascular. En este artículo se revisa su prevalencia, el grado de conocimiento, el logro de su control y tratamiento, así como su riesgo atribuible analizando la carga de enfermedad y la pérdida de años por discapacidad. Se presentan estudios del impacto de su inclusión en el AUGE, resultados de la intervención multidisciplinaria, su interacción con otros factores de riesgo cardiovascular y se comentan algunos aspectos de las actualizaciones de las guías internacionales para su manejo.Palabras clave: Hipertensión arterial, prevalencia, grado de conocimiento, riesgo atribuible, guías clínicas. SUMMARY Hypertension (HT) remains as an important public health problem worldwide. In Chile constitutes the leading cause of morbidity and mortality and the risk factor with the highest attributable risk burden for ischemic heart disease and stroke. This articleArtículo recibido: 31-12-2014 Artículo aprobado para publicación: 28-01-2015 reviews HT´s prevalence, degree of knowledge, achievement of its control and treatment. Also the risk burden of disease and disability loss years due to this pathology is analyzed. The results of studies after the inclusion of HT as explicit guaranteed health problem, multidisciplinary approach and its interaction with other cardiovascular risk factors is presented. Finally, some aspects of international updates guidelines for its management are discussed.

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Diabetes mellitus en la población hipertensa asistida en Atención Primaria en España. Grado de control tensional y lipídico

Cited by 24 publications

References 30 publications

Trends in Hypertension Prevalence, Awareness, Treatment and Control in an Adult Type 2 Diabetes Spanish Population between 2003 and 2009

Trends in Hypertension Prevalence, Awareness, Treatment and Control in an Adult Type 2 Diabetes Spanish Population between 2003 and 2009

Utilidad de la terapia combinada en la prevención y tratamiento de la enfermedad cardiovascular

Impacto De La Hipertensión Arterial Como Factor De Riesgo Cardiovascular

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